Enhanced CT and FDG PET/CT in Primary Malignant Peripheral Nerve Sheath Tumor of the Uterine Cervix

Malignant peripheral nerve sheath tumor of the uterine cervix is extremely rare. A 45-year-old woman presented with intermittent vaginal bleeding for 1 month. Enhanced CT in the arterial and venous phases showed a hypervascular tumor in the uterine cervix. Colposcopy-directed biopsy revealed malignant peripheral nerve sheath tumor. FDG PET/CT showed intense FDG uptake (SUVmax, 8.8) of the tumor mimicking cervical cancer. Total laparoscopic radical hysterectomy, bilateral salpingo-oophorectomy, and pelvic lymphadenectomy were performed.